Myopia management: what Sydney parents need to know

📋 Key points

Around 40–50% of children we see are actively managed for myopia.

Every child gets a personalised plan using all AU-approved options.

We measure eye growth in millimetres with an optical biometer.

Acting early can delay or slow progression, even before myopia starts.

We check how the eyes work together, not just how far they can see.

Most parents don’t realise that short-sightedness in children can sometimes progress quickly as they grow. At Eyecare Kids, around 40–50% of the children we see are being actively managed for myopia. That number might sound high, but it also means we’ve developed deep experience in this area, and that your child will be in very familiar hands.

What is myopia management?

Myopia happens when a child’s eye grows too long. Light falls short of the retina, making distant objects blurry. The concern isn’t just the blurriness, it’s that the eye can keep growing, increasing the prescription and the long-term risks to eye health.

Myopia management is about slowing that growth. Correction (glasses or contact lenses) helps your child see clearly today. Management aims to protect their vision for life.

No two children are treated the same

We’ve moved well beyond the days of “here are your glasses, see you next year.” Every child we manage for myopia receives a personalised treatment plan. We have access to every myopia management option currently approved for use in Australia, including:

  • MiYOSMART lenses — everyday spectacle lenses designed to slow eye growth
  • Low-dose atropine drops — a simple nightly eye drop with strong evidence behind it
  • Orthokeratology (ortho-k) — contact lenses worn overnight that gently reshape the cornea
  • Repeated low-level red light (RLRL) therapy — a newer approach with promising results

The right combination depends on your child’s age, prescription, lifestyle, and how quickly their eyes are growing.

What about children who aren’t myopic yet?

If your child is pre-myopic, showing risk factors but not yet short-sighted, this is actually the ideal time to act. We focus heavily on preventative strategies: encouraging outdoor time, and early options like MiYOSMART lenses or low-dose atropine. Giving the eyes a head start before myopia sets in means we have more tools available, and more time to make a difference.

Measuring eye growth in millimetres

One of the most valuable tools in our practice is the optical biometer. This piece of equipment measures the physical length of your child’s eye in millimetres. Think of it as a growth chart specifically for their eyes.

When we can show you exactly how your child’s eye has grown since their last visit, the conversation changes. It’s no longer abstract. For parents who already wear glasses, the risk often clicks immediately. For parents who don’t, seeing actual millimetre measurements plotted on a growth chart is often the moment it becomes real and relatable.

We use tools like myopia.care, the BHVI myopia calculator, and ocumetra to help contextualise those measurements. You leave understanding where your child sits not just with a new prescription.

💡 What happens during a consultation

1. A full 40 minutes

Initial consultations are never rushed, and follow-ups get the same care.

2. Interactive testing

Testing is playful and paced so children stay engaged and comfortable.

3. Children’s eyecare professionals

Optometrists and dispensers train continually in children's eye care and contact lens fitting.

4. Questions answered early

Our front-of-house team can answer many questions before you reach the consulting room.

The whole visual system matters

Here’s something that’s easy to overlook: many children with myopia also have underlying issues with how their eyes focus or work together. This is called binocular vision and accommodation.

Managing short-sightedness without checking these systems can leave a child with near blur or visual discomfort that no one can explain. We always look at the whole picture. Every time.

📅 When should you book?

Don’t wait until your child develops noticeable vision problems. If there’s a family history of myopia, your child squints, struggles to see the board at school, or spends long periods reading or using screens, now is the right time to book a comprehensive eye examination.